Request Bathing Suits

Bathing Suit Request

Together with our partners from New Jersey Recreation and Parks and Dolphin Swim Wear, we are excited to offer Bathing Suits, Goggles, and swim diapers to programs that provide free and reduced-cost swimming lessons. Please let us know more about your program below so we can see how these suits might lead to life-saving swimming lessons in your community.

Organizational Name *

Address *

City

State

Zip Code

Contact: First Name *

Last Name *

Contact Email *

Phone number *

We offer free or reduced-cost swimming lessons

Please describe your program and how you would use swimsuits if received. Include details about the community you are interested in serving with these suits.
(Maximum characters: 2000)
You have characters left.

Please select the types of suits or other items you would like to receive. Check all that apply *

Please indicate the age ranges for your program. Check all that apply. *

Approximately how many people does your program serve each year?
(Maximum characters: 300)
You have characters left.

I agree to provide a short summary detailing how these suits were distributed each year I receive suits.

Yes! Please notify me by email about New Jersey Swim Safety Alliance and their partners.

Your form submission WILL be encrypted using SSL to ensure your privacy.